Frequency of Phobic Disorder in a Community Sample of Young Adolescents

JENNIFER M. MILNE, CAROL Z. GARRISON, CHERYL L. ADDY, ROBERT E. McKEOWN, KIRBY L. JACKSON, STEVEN P. CUFFE, JENNIFER L. WALLER

Research output: Contribution to journalArticle

29 Scopus citations

Abstract

To investigate the frequency and phenomenology of clinical, subsyndromal, and subthreshold phobias in young adolescents. Method: A two-stage epidemiological study originally designed to investigate adolescent depression was conducted between 1986 and 1988 in the southeastern United States. In the first stage, a self-report depressive symptom questionnaire was administered to a community sample of 3,283 adolescents. In the diagnostic stage, the Schedule for Affective Disorders and Schizophrenia for School-Age Children and the Children's Global Assessment Scale were administered to 487 mother-child pairs. Prevalence rates of clinical, subsyndromal, and subthreshold phobia were 2.3%, 14.5%, and 22.2%, respectively. One-year incidence rates were 0.4%, 8.0%, and 16.9%, with 43.0% of phobic subjects categorized at the same or a more severe level after a year. Females, blacks, subjects not living with both biological parents, and older adolescents were more likely to meet the diagnostic criteria for clinical phobia. The majority (77%) of subjects with clinical phobia experienced multiple phobias. Subsyndromal (52%) and subthreshold (74%) phobics were more likely to experience simple phobias only. Phobic symptoms are relatively common at a moderate level and in the majority of adolescents are somewhat transitory in nature. Characteristic symptomatology and comorbidity may facilitate earlier identification of subjects at risk of persistent symptomatology and in need of treatment.

Original languageEnglish (US)
Pages (from-to)1202-1211
Number of pages10
JournalJournal of the American Academy of Child and Adolescent Psychiatry
Volume34
Issue number9
DOIs
StatePublished - Jan 1 1995
Externally publishedYes

Keywords

  • adolescent
  • anxiety disorder
  • comorbidity
  • phobic disorder

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Psychiatry and Mental health

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  • Cite this

    MILNE, JENNIFER. M., GARRISON, CAROL. Z., ADDY, CHERYL. L., McKEOWN, ROBERT. E., JACKSON, KIRBY. L., CUFFE, STEVEN. P., & WALLER, JENNIFER. L. (1995). Frequency of Phobic Disorder in a Community Sample of Young Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 34(9), 1202-1211. https://doi.org/10.1097/00004583-199509000-00018